Male Factor
The Department of Urology and the Center for Advanced Reproductive Medicine Andrology Laboratory staff offer comprehensive diagnosis and treatment of male infertility problems and work closely with the In Vitro Fertilization Program team.
The Department of Urology specializes in the full range of microsurgical procedures and endocrinological treatments that can offered for infertility treatment. Conditions such as blockages in the male reproductive system, mechanical problems inhibiting pregnancy, and difficulties with low sperm production are commonly treated.
The laboratory offers a complete range of diagnostic tests for sperm disorders and maintains a high quality semen cryopreservation and sperm bank facility.
Basic Evaluation
An initial male fertility work-up includes a history, physical examination, general hormone tests, and two semen analyses, which determines sperm number, motility, quality of motion and morphology.
Further Investigation and Treatment
After the diagnostic evaluation is completed, a therapeutic route is chosen, which may involve medical or endocrinologic treatment, surgical correction, or a decision to manipulate or process the sperm that already exist to achieve a pregnancy. An example of medical treatment is the use of hormones to improve sperm quality. Examples of surgery include a variocele repair (repair of dilated veins in the scrotum) or vasectomy reversal. Sperm processing attempts to increase sperm quality or overcome problems of sperm delivery with the help of the laboratory.
Procedures Offered by the Department of Urology
- Diagnostic Modalities
- Cystoscopy
- Microscopic Vasography
- Scrotal Doppler Ultrasound
- Transrectal Ultrasound
- Testis Biopsy
Treatment for Anjaculation and Retrograde Ejaculation
- Vibratory Stimulation
- Electroejaculation
- Bladder Sperm Retrieval
Surgical Treatments for Obstruction (Congenital or Acquired)
- Microscopic Vasovasostomy
- Microscopic Epididymovasostomy
- Microscopic Vasal Sperm Aspiration
- Testicular Sperm Extraction from Biopsy
- Transurethral Resection of Ejaculatory Ducts
Surgical Treatments Associated with Infertility
- Microsurgical Variocele Ligation (artery sparing)
Laboratory Tests
- Semen Cultures
- Post-ejaculate Urinalysis
- Kruger and WHO Morphology
- Antisperm Antibodies- Direct, Indirect
- Monoclonal Antibody WBC Assay (Pyospermia)
- Sperm Processing for Insemination
- Cervical Mucus-Sperm Penetration
